image

Publication

At a MEETING of the DUNDEE CITY HEALTH AND SOCIAL CARE INTEGRATION JOINT BOARD held remotely on 20th August, 2025.

Present:-

Members

Role

 

Ken LYNN (Chair)

Nominated by Dundee City Council (Elected Member)

Bob BENSON (Vice Chair)

Nominated by Health Board (Non Executive Member

Colleen CARLTON

Nominated by Health Board (Non Executive Member)

David CHEAPE

Nominated by Health Board (Non-Executive Member)

Dorothy MCHUGH

Nominated by Dundee City Council (Elected Member)

Siobhan TOLLAND

Nominated by Dundee City Council (Elected Member)

Dave BERRY

Chief Officer

Christina COOPER

Third Sector Representative

Christine JONES

Acting Chief Finance Officer

Jim McFARLANE

Trade Union Representative

Raymond MARSHALL

Staff Partnership Representative

Dr Sanjay PILLAI

Registered Medical Practitioner (not providing primary medical services)

Dr David SHAW

Clinical Director

Martyn SLOAN

Person providing unpaid care in the area of the local authority

Dr David WILSON

NHS Tayside (Registered Medical Practitioner (whose name is included in the list of primary medical performers)

Non-members in attendance at request of Chief Officer:-

Dawn FRASER

Health and Social Care Partnership

Fiona GIBSON

Health and Social Care Partnership

Vered HOPKINS

Health and Social Care Partnership

Matthew KENDALL

Health and Social Care Partnership

Emma LAMONT

Health and Social Care Partnership

Kathry SHARP

Health and Social Care Partnership

Angie SMITH

Health and Social Care Partnership

Ken LYNN, Chairperson, in the Chair

I APOLOGIES FOR ABSENCE

Apologies for absence were submitted on behalf of:-

Member

Role

Glyn Lloyd

Chief Social Work Officer

II DECLARATION OF INTEREST

 

There were no declarations of interest.

III MINUTE OF PREVIOUS MEETING

(a) The minute of previous meeting of the Integration Joint Board held on 18th June, 2025 was submitted and approved with an amendment requested by Councillor McHugh in relation to Article II.

Councillor McHugh also asked for the recruitment of the service user representative to be added to the Action Tracker.

(b) ACTION TRACKER

The Action Tracker DIJB61-2025 for meetings of the Integration Joint Board was submitted and noted.

Following questions and answers the Integration Joint Board agreed:-

(i) to note that Roger Mennie was carrying out an option appraisal in relation to the request for a move to hybrid meetings and that the Chair would follow up with Roger regarding the position; and

(ii) to note Councillor McHughs comments in relation to expecting to see a report submitted to the IJB if it had been requested rather than dealt with in a Development Session only.

IV FINANCIAL MONITORING POSITION AS AT JUNE2025

There was submitted Report No DIJB49-2025 by the Chief Finance Officer providing an update of the projected financial position for delegated health and social care services for 2025/2026.

The Integration Joint Board agreed:-

(i) to note the content of the report including the projected operational financial position for delegated services for the 2025/2026 financial year end as at 30th June, 2025 as outlined in Appendices 1, 2, and 3 of the report; and

(ii) to note the actions being taken by Officers and Senior Management to address the current projected financial overspend position, with a report on progress and implications to develop a formal Financial Recovery plan to be presented at the next IJB meeting (as detailed in section 4.5 of the report).

Following questions and answers the Integration Joint Board agreed:-

(iii) to note that the Chief Finance Officer would consider if the up to date savings position could be incorporated in future reports rather than a RAG status; and

(iv) that consideration would be given to having an IJB Development Session on the absence postion.

V 2025/2026 BUDGET ANDSAVINGS DELIVERY PROGRESS UPDATE

There was submitted Report No DIJB46-2025 by the Chief Finance Officer providing a progress report and update to actions and reviews being undertaken to deliver the 2025/2026 Financial Plan and Balanced Budget.

The Integration Joint Board agreed:-

(i) to note the progress to deliver the required actions and reviews in Section 4 of the report;

(ii) to instruct the Chief Finance Officer to provide a further update on ongoing and outstanding reviews no later than 31st December, 2025; and

(iii) to approve the recommendation to progress recommissioning of Rockwell Housing with Care provision, as detailed in section 4.3 and Appendix 1 of the report.

Following questions and answers the Integration Joint Board agreed:-

(iv) to note the assurance provided by the Chief Offier that discussions had taken place, and would continue to take place, with third party partners in relation to sustainability and updates would be provided when appropriate.

VI 5 YEAR FINANCIAL OUTLOOK 2025/26-2029/30 

There was submitted Report No DIJB47-2025 by the Chief Finance Officer providing a forecast of the medium to longer term financial challenges which were likely to impact on the IJBs future delegated budget and set out the framework within which these challenges would be mitigated to enable the IJBs strategic priorities to be delivered within a balanced budget.

The Integration Joint Board agreed:-

(i) to note the potential financial challenges which may impact on the IJBs delegated budget over the medium to longer term as set out in sections 4.1.1 to 4.1.9 and Appendix 1 to the report; and

(ii) to approve the framework and range of principles under which the IJB would approach these challenges to ensure the IJB was able to deliver its strategic and commissioning priorities while delivering a balanced budget as set out in sections 4.1.10 and 4.1.11 of the report.

VII DELIVERY OF PRIMARY CARE IMPROVEMENT PLAN ANNUAL UPDATE

There was submitted Report No DIJB57-2025 by the Chief Officer providing an update on the implementation of the Dundee Primary Care Improvement Plan for 2024/2025 and seeking approval for the continued implementation of the Dundee Primary Care Improvement Plan for 2025/2026.

The Integration Joint Board agreed:-

(i) to note the progress in implementing the Dundee Primary Care Improvement Plan (PCIP) 2024/2025 (attached as Appendix 1) and the key achievements as described in Section 4 of the report;

(ii) to approve the proposed actions for Dundee Health & Social Care Partnership for 2025/2026 as described in Appendix 1 and to note the proposed allocation of funding as detailed in Section 3 of the report;

(iii) to note that aspects of the Plan which had been directed by the Scottish Government to be fully implemented continued to have ongoing gaps, for a range of reasons outlined;

(iv) to instruct the Chief Officer to issue directions to NHS Tayside to implement the specific actions relevant to them in Appendix 1;

(v) to note the previous agreement to delegate the monitoring of the Dundee allocation of the Primary Care Improvement Fund to the Dundee Primary Care Improvement Group as noted in Section 3.7 and 3.9 of the report; and

(vi) to instruct the Chief Officer to provide a further report on progress made against delivering the Dundee Primary Care Improvement Plan 2025/2026 to a future IJB.

Following questions and answers the Integration Joint Board agreed:-

(vii) to note the offer from Dawn Fraser to provide a different presentation of the information if required.

VIII APPLICATION FOR TRANSFORMATION FUNDING FOR CONTINUITY OF CARE IN GENERAL PRACTICE

There was submitted Report No DIJB59-2025 by the Chief Officer seeking approval of the request for £80k of IJB Transformation Funding to build on previous work by The Health Foundation and to utilise the Royal College of General Practitioners Toolkit (RCGP) to support five practices to sustainably improve Continuity of Care (CoC) within their practice. If approved, these practices would establish and support local learning and share their experience of CoC with other practices.

The Integration Joint Board agreed:-

(i) to approve the request for £80k funding from the IJB Transformation Fund to improve CoC in light of the wealth of evidence that improving CoC could support general practice to be more sustainable; and

(ii) to instruct updates on progress to be provided as part of wider Primary Care update reports to the IJB.

IX ANNUAL REPORT OF THE DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP CLINICAL, CARE AND PROFESSIONAL GOVERNANCE GROUP2024-2025

There was submitted Report No DIJB54-2025 by the Clinical Director providing assurance to the Dundee IJB regarding matters of Clinical, Care and Professional Governance. In addition, the report provided information on the business of the Dundee Health & Social Care Partnership Clinical, Care and Professional Governance Group (the Group, DHSCP CCPG Group).

The Integration Joint Board agreed:-

(i) to note the content of the report; and

(ii) to note the work undertaken by the Dundee Health & Social Care Partnership Clinical, Care and Professional Governance Group from April 2024 March 2025 to seek assurance regarding matters of Clinical, Care and Professional Governance.

X PERFORMANCE AND AUDIT COMMITTEE ANNUAL REPORT 2024/2025

There was submitted Report No DIJB48-2025 by the Chief Finance Officer providing an overview of the activities of the Performance and Audit Committee over 2024/2025.

The Integration Joint Board agreed to note the content of the Performance and Audit Committees Annual Report for the year 2024/2025.

XI LEARNING DISABILITY INPATIENT TRANSITION QUARTERLY REPORT

There was submitted Report No DIJB63-2025 by the Chief Officer providing an update on progress with the Learning Disability Inpatient Transition Programme led by NHS Tayside.

The Integration Joint Board agreed:-

(i) to note the progress against the recommendations within the Learning Disability Inpatient Transition Programme as set out in Appendix 1 to the report; and

(ii) to instruct the Chief Officer to provide a further update to the IJB by no later than 31st December, 2025.

Following questions and answers the Integration Joint Board agreed:-

(iii) to note that Raymond Marshall would follow up with Sandra McLeod regarding his concerns about lack of Trade Union involvement in certain aspects;

(iv) to note that Matthew Kendall would get an update on the position in relation to whether Occupational Therapy was in or out of scope and whether the day service provision was a completely separate service and report back to Raymond;

(v) to note that further information would be provided to Councillor McHugh in relation to the engagement with patients and their families;

(vi) to note that further information would be provided to Councillor McHugh on mitigations included in the combined Impact Assessment.

XII MENTAL HEALTH AND WELLBEING STRATEGIC PLANNING

There was submitted Report No DIJB51-2025 by the Chief Officer providing a briefing on the progress of the Dundee Mental Health and Wellbeing Strategic Plan 2019-2024, and the co-production of a new Mental Health and Wellbeing Strategic Plan for Dundee.

The Integration Joint Board agreed:-

(i) to note the progress to date in implementing the Dundee Mental Health and Wellbeing Strategic Plan for 2019-2024 and the key achievements as described in Section 4 of the report;

(ii) to note the approach planned with key stakeholders to co-produce the new Dundee Mental Health and Wellbeing Strategic Plan for 2026-2031 and the steps achieved towards this as described in Section 4 of the report;

(iii) to note that Dundee Health and Social Care Partnership would collaborate with the other Tayside Health and Social Care Partnerships and NHS Tayside and stakeholders to ensure alignment of local plans with strategic intent across Tayside; and

(iv) to instruct the Chief Officer to provide a report presenting the finalised co-produced Dundee Mental Health and Wellbeing Strategic Plan for 2026-2031, to a future IJB.

Following questions and answers the Integration Joint Board agreed:-

(v) to note Councillor McHughs suggestion that more information be provided in future reports in relation to what had been achieved and what was still to be achieved.

XIII REDUCING HARM FROM DRUG AND ALCOHOL USE UPDATE REPORT

There was submitted Report No DIJB50-2025 by the Independent Chair, Dundee Drug & Alcohol Partnership providing a summary overview of progress made during the second year of the Dundee Alcohol and Drug Partnerships Strategic Framework 2023-2028 and informing of the priorities for the second year of delivery. The report also sought approval of the 2024/2025 annual return from the Dundee Alcohol and Drug Partnership to the Scottish Government.

The Integration Joint Board agreed:-

(i) to note the content of the report, the progress toward implementation of the Dundee Alcohol and Drug Partnerships (ADP) delivery plan and the process of integrating with the new multi-agency Protecting People Governance Structure (section 4.2 of the report); and

(ii) to approve the draft ADP 2024/2025 Annual Report, noting that the draft had been submitted to the Scottish Government on 13th June 2025 to meet their submission date guidelines (section 4.3 and appendix 1 of the report).

Following questions and answers the Integration Joint Board agreed:-

 

(iii) that Vered Hopkins would provide information to the Chair on the number of people receiving shared care; and

(iv) that further information would be provided to a future IJB meeting in relation to residential rehab and the alcohol pathway review.

XIV SCOTTISH GOVERNMENT NHS RENEWAL FUNDING - URGENT AND UNSCHEDULED CARE

There was submitted Report No DIJB58-2025 by the Chief Officer providing an overview of the Scottish Governments 2025/2026 NHS Renewal Additional Urgent and Unscheduled Care (UUSC) Funding recommending that the Chief Officer issued Directions on behalf of the IJB to NHS Tayside and Dundee City Council to ensure the Scottish Governments outcome expectations were delivered as they related to Dundee delegated functions.

The Integration Joint Board agreed:-

(i) to note the detail of additional Scottish Government funding provided to NHS Tayside for Urgent and Unscheduled Care in 2025/2026 to support whole system working; and

(ii) to instruct the Chief Officer to issue Directions to NHS Tayside and Dundee City Council to ensure the Scottish Governments outcome expectations were delivered as they related to Dundee delegated functions.

XV DIRECTOR OF PUBLIC HEALTH ANNUAL REPORT 2024/2025

There was submitted Report Number DIJB55-2025 by the Associate Director of Public Health informing of the content of the Director of Public Health Annual Report 2024/2025.

The Integration Joint Board agreed to review the information contained within the report and utilise it to support in future strategic planning in conjunction with the recently published Population Health Framework document.

Following questions and answers the Integration Joint Board agreed:-

(i) to note that Kathryn would feedback comments from the IJB to Simon Hilton.

XVI NATIONAL LEGISLATIVE AND STRATEGIC PLANNING DEVELOPMENTS FOR HEALTH AND SOCIAL CARE

There was submitted Report No DIJB45-2025 by the Chief Officer providing an overview of recent national developments in relation to policy, legislation and strategy directly related to adult health and social care.

The Integration Joint Board agreed to note the content of the report.

XVII ANNUAL PERFORMANCE REPORT 2024/2025

There was submitted Agenda Note DIJB52-2025 reporting that Section 42 of the Public Bodies (Joint Working) (Scotland) Act 2014 stated that Integration Authorities must prepare an annual performance report for each reporting year, with reports being required to be published by 31st July each year. The eighth annual report of the Dundee Integration Joint Board (for 2024-25) was therefore due for publication by 31st July 2025.

As the statutory timescale for publication preceded the meeting of the IJB on 20th August 2025 the IJBs Scheme of Delegation process regarding urgent matters was used to secure approval of the Annual Performance Report prior to publication. The Chief Officer in consultation with the Chair, Vice Chair, Chief Finance Officer and Clerk and Standards Officer approved the report on behalf of the IJB in order to meet the statutory publication timescale. The Annual Performance Report 2024-25 was published on 30th July, 2025 and is available at: https://www.dundeehscp.com/sites/default/files/2025-07/DHSCP%20Annual%20Performance%20Report%202025.pdf

Due to the availability of data for National Health and Wellbeing Indicators 11 to 20, which were produced and published by Public Health Scotland, it was not possible to include financial year data (2024-25) for all indicators within the published report. The Annual Performance Report therefore contains financial year data for indicators 15, 17 and 19 (last 6 months of life, care services gradings and delayed discharge), with all other indicators in this subset being reported against the 2024 calendar year. The report would be updated as soon as financial year data was made available by Public Health Scotland for all indicators. 

The Annual Performance Report had been formally submitted to the Scottish Government and would be submitted to Dundee City Council and NHS Tayside, as well as being electronically distributed to organisational stakeholders under the direction of the Strategic Planning Advisory Group.  

The Annual Performance Report would be submitted to the Performance and Audit Committee on 24th September, 2025 to provide an opportunity for further scrutiny and discussion by members.  

The IJB noted the approval and publication of the Annual Performance Report and the planned submission of the report to the Performance and Audit Committee.  

XVIII DUNDEE HEALTH AND SOCIAL CARE PARTNERSHIP DELIVERY PLAN OCTOBER 2024-MARCH 2026 UPDATE

There was submitted Report No DIJB60-2025 by the Chief Officer providing an overview of progress against the actions within the Dundee Health and Social Care Partnership Delivery Plan, and to inform the IJB of revisions made to the plan following the 2025/2026 budget setting process.

The Integration Joint Board agreed to note the content of the report.

XIX STATUTORY REVIEW OF THE STRATEGIC COMMISSIONING FRAMEWORK

There was submitted Report No DIJB53-2025 by the Chief Officer providing an overview of the planned approach to progressing the statutory review of the IJBs Strategic Commissioning Framework during 2025/2026.

The Integration Joint Board agreed to note the content of the report and provide feedback on the planned approach to undertaking the statutory review, including engagement activities.

XX MEETINGS OF THE INTEGRATION JOINT BOARD 2025 ATTENDANCES

There was submitted a copy of the Attendance Return DIJB62-2025 for meetings of the Integration Joint Board held to date over 2025.

The Integration Joint Board agreed to note the position as outlined.

XXI IJB DEVELOPMENT SESSIONS

The IJB noted that the following Development Sessions had been arranged for IJB members:

27th August Adult Support & Protection/Statutory Review of the Strategic Commissioning Framework

17th September Engagement and Co-production

29th October 2026/27 Budget Development Process

26th November Equality Matters

17th December 2026/27 Budget Development Process

All sessions would be held in Meeting Room DH1-1, Dundee House between 10am 12 noon. There would be an option to join remotely for those unable to attend in person.

XXII DATE OF NEXT MEETING

The Integration Joint Board agreed to note that the next meeting of the Dundee Integration Joint Board would be held on Wednesday, 22nd October, 2025 at 10.00am.

Ken LYNN, Chairperson